PHYLLIS H HAN (NPI# 1255357612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255357612 |
| Entity Type | Individual |
| Full Name | PHYLLIS H HAN |
| Credential | MD |
| Practice Address |
801 S Milwaukee Rd Libertyville IL 60048-3199 |
| Practice Telephone | 8473622900 |
| Mailing Telephone | 8473622900 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0360830622 | 05 |
| Street Address |
801 S MILWAUKEE RD |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801812268 | Sankara R Peruri | Radiology | 801 S Milwaukee Rd, Libertyville, IL 60048-3199 | 2006-07-15 |
| 1467470815 | David E Foosaner | Radiology | 801 S Milwaukee Rd, Libertyville, IL 60048-3199 | 2006-07-17 |
| 1518985977 | Christopher A Coury | Radiology | 801 S Milwaukee Rd, Libertyville, IL 60048-3199 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316261969 | Specialty Diagnostic Services, LLC | Radiology | 114 W Rockland Rd Ste 1, Libertyville, IL 60048-2774 | 2010-03-24 |
| 1801812268 | Sankara R Peruri | Radiology | 801 S Milwaukee Rd, Libertyville, IL 60048-3199 | 2006-07-15 |
| 1376569731 | Jasmina P Oberhaus | Radiology | 801 S Milwaukee Road, Libertyville, IL 60048-3199 | 2006-07-15 |
| 1437109816 | Thomas Mcdowell Anderson | Radiology | 1800 Hollister Drive, Suite G-18, Libertyville, IL 60048-5264 | 2006-05-10 |
| 1427041086 | Libertyville Imaging Associates, Inc | Radiology | 333 Peterson Rd, Suite 230, Libertyville, IL 60048-1085 | 2005-08-29 |
| 1336399716 | Mri of Libertyville LLC | Radiology | 333 Peterson Rd, Libertyville, IL 60048-1085 | 2008-09-23 |
| 1740439009 | Jai Devendra Shah | Radiology | 801 S Milwaukee Ave, Advocate Condell Medical Center - Radiology Department, Libertyville, IL 60048-3204 | 2008-09-11 |
| 1033381140 | Gurnee Radiology Center, LLC | Radiology | 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 | 2008-03-28 |
| 1760682249 | Bisher Tarabishy | Radiology | 1800 Hollister Dr, Suite G-18, Libertyville, IL 60048-5263 | 2007-07-23 |
| 1174685432 | Beth Anne Sylvester | Radiology | 1800 Hollister Dr, Suite G-18, Libertyville, IL 60048-5263 | 2006-12-14 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on PHYLLIS H HAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.